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Provider 1699962431

NPI: 1699962431Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,775,124

Total Claims

299K

Beneficiaries

277K

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$110K
+1264%
2019
$1.5M
-27%
2020
$1.1M
+11%
2021
$1.2M
+5%
2022
$1.3M
+8%
2023
$1.4M
-12%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 31% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$2.4M

33K claims · 31.3%

Your Cost: $74.78/claim|Median: $53.41
1.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$790K

9,255 claims · 10.2%

Your Cost: $85.39/claim|Median: $75.18
1.1× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$722K

13K claims · 9.3%

Your Cost: $54.50/claim|Median: $37.81
1.4× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$683K

17K claims · 8.8%

Your Cost: $40.62/claim|Median: $17.85
2.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$625K

7,410 claims · 8.0%

Your Cost: $84.37/claim|Median: $74.82
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$595K

7,401 claims · 7.6%

Your Cost: $80.36/claim|Median: $69.35
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$419K

4,602 claims · 5.4%

Your Cost: $91.09/claim|Median: $80.15
1.1× median
99058Normal range

$215K

14K claims · 2.8%

Your Cost: $14.95/claim|Median: $15.38
1.0× median
92570Normal range

$171K

7,456 claims · 2.2%

Your Cost: $22.96/claim|Median: $19.67
1.2× median
96110Normal range

Developmental screening, per standardized instrument

$143K

22K claims · 1.8%

Your Cost: $6.51/claim|Median: $9.10
0.7× median
V5008Top 25%

$118K

9,197 claims · 1.5%

Your Cost: $12.85/claim|Median: $8.98
1.4× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$118K

4,039 claims · 1.5%

Your Cost: $29.25/claim|Median: $39.63
0.7× median
90471Top 10%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$71K

3,633 claims · 0.9%

Your Cost: $19.58/claim|Median: $9.80
2.0× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$65K

787 claims · 0.8%

Your Cost: $82.61/claim|Median: $73.46
1.1× median
90472Top 25%

Immunization administration, each additional vaccine

$60K

2,240 claims · 0.8%

Your Cost: $26.86/claim|Median: $11.79
2.3× median
87804Normal range

Influenza virus detection, rapid test

$55K

6,836 claims · 0.7%

Your Cost: $8.05/claim|Median: $12.59
0.6× median
G0447Top 25%

$53K

2,884 claims · 0.7%

Your Cost: $18.34/claim|Median: $5.19
3.5× median
G0444Top 25%

Annual depression screening, fifteen minutes

$51K

4,092 claims · 0.7%

Your Cost: $12.54/claim|Median: $4.23
3.0× median
36416Top 25%

$46K

14K claims · 0.6%

Your Cost: $3.41/claim|Median: $1.31
2.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$44K

5,694 claims · 0.6%

Your Cost: $7.72/claim|Median: $11.48
0.7× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$43K

789 claims · 0.6%

Your Cost: $54.49/claim|Median: $100.62
0.5× median
85018Normal range

$28K

16K claims · 0.4%

Your Cost: $1.77/claim|Median: $1.71
1.0× median
99383Top 25%

Preventive visit, new patient, late childhood (5-11 yr)

$22K

220 claims · 0.3%

Your Cost: $99.93/claim|Median: $81.92
1.2× median
94664Normal range

$18K

1,946 claims · 0.2%

Your Cost: $9.04/claim|Median: $8.88
1.0× median
87807Normal range

$17K

2,378 claims · 0.2%

Your Cost: $7.31/claim|Median: $10.06
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$17K

565 claims · 0.2%

Your Cost: $29.43/claim|Median: $25.06
1.2× median
92567Normal range

$13K

1,307 claims · 0.2%

Your Cost: $10.15/claim|Median: $11.50
0.9× median
90723Normal range

DTaP-HepB-IPV vaccine

$13K

1,660 claims · 0.2%

Your Cost: $7.57/claim|Median: $5.78
1.3× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$11K

13K claims · 0.1%

Your Cost: $0.89/claim|Median: $0.79
1.1× median
36415Top 25%

Collection of venous blood by venipuncture

$11K

3,217 claims · 0.1%

Your Cost: $3.38/claim|Median: $1.57
2.2× median
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